Individual provider Active NPI

Brittanie N Tullous

  • Licensed Vocational Nurse
  • Wichita Falls, TX
National Provider Identifier
1952968208
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
336371 Issued in TX
Practice address
1723 1/2 McGregor Ave
Wichita Falls, TX 76301-5628
Phone
(214) 425-8528
NPI assigned
May 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 336371 TX Primary

Addresses

Primary practice location

1723 1/2 McGregor Ave
Wichita Falls, TX 76301-5628

Mailing address

1723 1/2 McGregor Ave
Wichita Falls, TX 76301-5628
Phone (214) 425-8528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
336371TXMDLicensed Vocational Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1952968208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 1/2 MCGREGOR AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015628",
            "telephone_number": "214-425-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 1/2 MCGREGOR AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015628",
            "telephone_number": "214-425-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLOUS",
        "first_name": "BRITTANIE",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "336371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.